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 |