NPI | 1578543393 |
---|---|
Former Name | SUSAN AUDREY MANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: UT 8423541-3601) |
Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: MD ABGC1996 #91564) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2014-10-07 |