NPI | 1942781711 |
---|---|
Former Name | RACHEL A JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925926) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009921628) |
Enumeration Date | 2018-08-28 |
Last Update Date | 2024-10-16 |