| NPI | 1114433174 |
|---|---|
| Professional Name | SUSAN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.012324) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0136242) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0023139) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2026-01-12 |