NPI | 1710386008 |
---|---|
Former Name | SUZANNE SEAMON, CANNATA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05594800) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37811) |
Enumeration Date | 2014-08-22 |
Last Update Date | 2018-09-21 |