| NPI | 1790153880 |
|---|---|
| Former Name | CATHERINE ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6484-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2652-226) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2023-10-04 |