| NPI | 1982133112 |
|---|---|
| Former Name | MICHELLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16734) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8068) |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2021-10-05 |