| NPI | 1396047643 |
|---|---|
| Former Name | SUSAN JEAN NETCOH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA 1919) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: MA sp-8149-sl) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2023-02-01 |