| 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 |