| NPI | 1295010064 |
|---|---|
| Former Name | SUSAN RAE DUNHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010856) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2021-04-16 |