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 |