| NPI | 1720016454 |
|---|---|
| Former Name | CATHERINE M JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 5316) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 7133) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-03-29 |