| NPI | 1073547238 |
|---|---|
| Other Name | SUZANNE MARIE GANSCHOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS 1053) |
| 101YM0800X Counselor, Mental Health (Licence: MS 1053) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-02-24 |