| NPI | 1518937861 |
|---|---|
| Former Name | SUSAN SHACKELFORD ENDERLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003872) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R038364-1) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2009-07-08 |