| NPI | 1043476724 |
|---|---|
| Former Name | SUZANNE MARIE FAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60128252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 8495914-6004) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2013-05-01 |