NPI | 1154368330 |
---|---|
Professional Name | SUSAN LEAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KY KY 1333) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY KY0504) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2015-09-08 |