| NPI | 1033317151 |
|---|---|
| Former Name | SUSAN K PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 583) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC-583) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2012-04-10 |