NPI | 1285819805 |
---|---|
Former Name | SUSAN A STEPAKOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1544) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: NY 017212) |
103TP2701X Psychologist, Group Psychotherapy (Licence: NY 017212) | |
103TC0700X Psychologist, Clinical (Licence: NY 017212) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 017212) | |
102X00000X Poetry Therapist (Licence: NY 017212) | |
103TC0700X Psychologist, Clinical (Licence: MA 7651) | |
Enumeration Date | 2008-01-02 |
Last Update Date | 2025-07-25 |