NPI | 1013927664 |
---|---|
Former Name | SUZANNE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC7959) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 3178) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2022-07-21 |