NPI | 1790208007 |
---|---|
Former Name | HANNAH JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60879932) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2020-11-02 |