| NPI | 1033577465 |
|---|---|
| Former Name | SUSAN ALEXANDRIA CRAFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1365) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: SC 277037) |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2016-01-30 |