| NPI | 1891955274 |
|---|---|
| Former Name | DEANA L S JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2920) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4085) |
| 103TC0700X Psychologist, Clinical (Licence: WI 2920-57) | |
| 103TH0004X Psychologist, Health (Licence: WI 2920) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2024-02-12 |