| NPI | 1396880688 |
|---|---|
| Former Name | SUZANNE FLYNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5975) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1263) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-01-10 |