NPI | 1043619554 |
---|---|
Former Name | SUSAN LORENA SNODGRASS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.1700016) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99844) |
221700000X Art Therapist | |
Enumeration Date | 2014-08-20 |
Last Update Date | 2023-10-03 |