NPI | 1003141458 |
---|---|
Former Name | SUZANNE JANE SPENCER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 26687) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 26687) |
Enumeration Date | 2009-10-02 |
Last Update Date | 2012-03-09 |