| NPI | 1992034359 |
|---|---|
| Former Name | PAULETTE ELAINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2013-06-12 |