| NPI | 1205106622 |
|---|---|
| Former Name | SUSAN LOUISE TRUXA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2018-04-23 |