NPI | 1346374261 |
---|---|
Former Name | SUZANNE JEANETTE HESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.00754) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007054) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2019-12-09 |