| NPI | 1699545640 |
|---|---|
| Former Name | HEATHER LUZETTE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 12205695-2504) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 12205695-2506) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |