| NPI | 1033548912 |
|---|---|
| Former Name | SUSAN CRICKMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.012917) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.009213) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2020-05-08 |