| NPI | 1487306205 |
|---|---|
| Former Name | SUSAN RUTH STRAIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 4464) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101Y00000X Counselor (Licence: SC 4464) | |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2024-01-15 |