| NPI | 1689773384 |
|---|---|
| Former Name | SUSAN R FEYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 20) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1095) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-10-23 |