| NPI | 1013294560 |
|---|---|
| Former Name | SUSAN ANN OAKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5200) |
| 101YM0800X Counselor, Mental Health (Licence: SC 5200) | |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2014-10-21 |