| NPI | 1942645668 |
|---|---|
| Former Name | TAYLOR JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW95699) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2021-07-19 |