| NPI | 1205156726 | 
|---|---|
| Former Name | SUSANNE WU | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225400000X Rehabilitation Practitioner | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-06-07 | 
| Last Update Date | 2025-06-03 |