NPI | 1457483349 |
---|---|
Other Name | SUSAN JANE STABNAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00265400) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016430) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-08-12 |