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 | 2024-09-15 |