| NPI | 1649388752 |
|---|---|
| Former Name | SUSAN D. MCMAHON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-907) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4561) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0003340) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2026-09-10 |