| NPI | 1285819805 |
|---|---|
| Former Name | SUSAN STEPAKOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 017212) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 017212) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NY 017212) | |
| 102X00000X Poetry Therapist (Licence: NY 017212) | |
| 103TF0000X Psychologist Family (Licence: NY 017212) | |
| 103TC0700X Psychologist Clinical (Licence: MA 7651) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2016-12-09 |