| NPI | 1215462171 |
|---|---|
| Former Name | SUSEL JEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 5103) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 174400000X Specialist | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2024-10-04 |