| NPI | 1699968644 |
|---|---|
| Former Name | SUSAN M BLODGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 011525) |
| 101YP2500X Counselor, Professional (Licence: MA 7875) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2023-12-02 |