| NPI | 1265509368 |
|---|---|
| Former Name | SUELLEN WALSH ROTHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9499) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 9499) |
| 103TF0000X Psychologist, Family (Licence: MA 9499) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-01-07 |