NPI | 1447585476 |
---|---|
Former Name | SUZANNE MARIE CLEVERINGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 001195) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103T00000X Psychologist (Licence: NE 826) | |
103TH0100X Psychologist, Health Service (Licence: IA 000558) | |
Enumeration Date | 2009-10-08 |
Last Update Date | 2020-02-04 |