| NPI | 1205921681 |
|---|---|
| Former Name | SUSAN ELIZABETH NUNNALLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS 19930) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-06-06 |