| NPI | 1255995627 |
|---|---|
| Former Name | SUZIE HUMBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18559) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2002031) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-17709) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2022-08-03 |