| NPI | 1942955455 |
|---|---|
| Other Name | STEPHANIE U JOHNSON YANCY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1457240222) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |