| NPI | 1942269394 |
|---|---|
| Former Name | CHRISTARDRA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4636) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A0305049) |
| 101YP2500X Counselor, Professional (Licence: AR P0704014) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2022-08-30 |