NPI | 1508984568 |
---|---|
Other Name | SUSAN LYNN DECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801082631) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801082631) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2021-03-02 |