NPI | 1710530613 |
---|---|
Former Name | NAVITA K.J. JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77040) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12394) |
Enumeration Date | 2019-07-19 |
Last Update Date | 2021-07-14 |