| NPI | 1063804425 |
|---|---|
| Former Name | SUSANNAH GRACE MILNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60801340) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 7068) |
| 101YP2500X Counselor Professional (Licence: KY 171745) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2018-04-11 |