| NPI | 1356592380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARIE ROULEAU Owner 302-479-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000677) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2024-08-06 |