| NPI | 1003056144 |
|---|---|
| Former Name | SUSAN LYNN WASHINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS016525) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016525) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2017-11-08 |