| NPI | 1750947636 |
|---|---|
| Former Name | EDY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1904093) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: QMHS) |
| 171M00000X Case Manager/Care Coordinator (Licence: CMS) | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2026-07-31 |