| NPI | 1568880680 |
|---|---|
| Former Name | SUSAN KATRINA CRUMLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60601839) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-3156) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2022-07-18 |