| NPI | 1578951794 |
|---|---|
| Former Name | SUSAN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY PPC-913) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2015-11-18 |