| 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 |