| NPI | 1184823973 |
|---|---|
| Former Name | SUSAN LARIANE CAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09921) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM C-09921) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2024-01-16 |