| NPI | 1558426114 |
|---|---|
| Former Name | SUSAN MARIE LOVAAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001820A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 86000139A) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2022-02-23 |