| NPI | 1104095967 |
|---|---|
| Other Name | SUSAN VIRGINIA BIGELOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 64) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2054) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2013-03-19 |