| NPI | 1659664571 |
|---|---|
| Professional Name | NICOLE P JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022791) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005855) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2023-08-07 |