| NPI | 1548426117 |
|---|---|
| Former Name | SUSAN RANEE MOLINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 004730) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1533) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-01-14 |