NPI | 1235160870 |
---|---|
Professional Name | SUZANNE B WING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5439) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OH 5439) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: OH 933626) | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2010-05-12 |