| NPI | 1063678811 |
|---|---|
| Former Name | SUSANNE J. HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 04091200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC1115) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2018-11-30 |