| NPI | 1144887449 |
|---|---|
| Former Name | SUZANNE BERNDT WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC17681) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC0015313) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |