| NPI | 1336954890 |
|---|---|
| Former Name | SUZANNE ROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 2391) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 23109) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2026-06-11 |