| NPI | 1215002811 |
|---|---|
| Professional Name | SUSAN DE WAARD BRUGGINK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 301002554) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6301002554) |
| 103T00000X Psychologist (Licence: MI 6301002554) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301002554) | |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301002554) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |