| 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 |