| NPI | 1790455665 |
|---|---|
| Former Name | LINDSEY R JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC010440) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 9736) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-23 |