| NPI | 1184637944 |
|---|---|
| Former Name | SUSAN STEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 03195) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC300192) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |