| NPI | 1902204472 |
|---|---|
| Professional Name | KATHERINE DENISE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019423) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW63148) |
| 101YM0800X Counselor, Mental Health (Licence: IL 150.015040) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2021-10-12 |