| NPI | 1346542651 |
|---|---|
| Former Name | SUZANNE LYNETTE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RW3659) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |