| NPI | 1235441866 |
|---|---|
| Former Name | SUSAN LYNN CLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1000141) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH I1000141) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2012-08-21 |