NPI | 1952666398 |
---|---|
Former Name | CATRINA JOHNSON-GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 61) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2012-07-11 |
Last Update Date | 2024-08-26 |