| NPI | 1174073761 |
|---|---|
| Former Name | SUZANNE M SCALA |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003019) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 3019) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2021-06-17 |