| NPI | 1265839310 |
|---|---|
| Other Name | SUSAN ELIZABETH THOLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020436) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.014612) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2025-07-14 |