| NPI | 1174164115 |
|---|---|
| Former Name | SUSAN ARMENTROUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2459) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 2459) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2020-06-19 |