| NPI | 1720396286 |
|---|---|
| Former Name | SUSANNA DOROTHY EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH61201631) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2025-04-01 |