NPI | 1760722466 |
---|---|
Former Name | SARA IRENE JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YS0200X Counselor, School | |
Enumeration Date | 2013-02-18 |
Last Update Date | 2017-01-31 |