| NPI | 1720104193 |
|---|---|
| Former Name | SUSANNE JENNIFER HOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10001772) |
| 175F00000X Naturopath (Licence: WA NT 00000482) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-02-24 |