| NPI | 1861731986 |
|---|---|
| Former Name | TERESA WREN JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006067) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 0006067) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 0006067) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2024-04-16 |