| NPI | 1528306180 |
|---|---|
| Former Name | SUSAN A SOBOLESKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT-1049) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB-7602) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |