| NPI | 1841335361 |
|---|---|
| Former Name | JULIE C. JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 23894) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166-000585) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |