| NPI | 1578517173 |
|---|---|
| Former Name | SUSAN D FLEMMING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 4656) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN LMFT1043) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-07-02 |