| NPI | 1578588547 |
|---|---|
| Former Name | SUSAN E OTTERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 6705-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 12791) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2025-11-24 |