NPI | 1225217052 |
---|---|
Former Name | SUSAN M MUNOZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2007-10-29 |
Last Update Date | 2018-01-05 |