| NPI | 1134251036 |
|---|---|
| Former Name | SUZANNE EAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7965) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: MA BC-DMT 1060) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2013-07-02 |