| NPI | 1942282272 |
|---|---|
| Former Name | DORA MARIE JOHNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006506) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20041746a) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |