| NPI | 1427460948 | 
|---|---|
| Former Name | SUSAN CHALKER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60980741)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| Enumeration Date | 2014-06-02 | 
| Last Update Date | 2022-01-24 |