NPI | 1982842621 |
---|---|
Former Name | KALI JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2204119) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC003610) |
Enumeration Date | 2009-02-03 |
Last Update Date | 2024-07-18 |