NPI | 1558415216 |
---|---|
Other Name | SUZI U WALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-3695) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ CSW 3695) |
1041S0200X Social Worker, School (Licence: AZ LCSW 3695) | |
Enumeration Date | 2007-01-22 |
Last Update Date | 2019-03-25 |