NPI | 1811755754 |
---|---|
Former Name | KAREN LOUISE JOHNSON MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW116617) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 116617) |
Enumeration Date | 2024-03-06 |
Last Update Date | 2025-06-13 |