| NPI | 1184932162 |
|---|---|
| Former Name | SUZANNE R STAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60281237) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60166575) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2020-03-13 |