| NPI | 1740065937 |
|---|---|
| Former Name | FEHEMA LUTRICIA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: MD LGP14136) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP14136) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |