NPI | 1124026794 |
---|---|
Other Name | SUSAN JOYE BIEDERSTADT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2128) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 14555) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2007-08-30 |