NPI | 1275965881 |
---|---|
Former Name | SUZANNA JOLENE REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY-203922) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC-6424) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2024-04-09 |