NPI | 1942358783 |
---|---|
Other Name | AMY LEE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101270529) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 25313) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-11-04 |