NPI | 1720418692 |
---|---|
Other Name | SUSAN E CLOTHIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE LCSW4820) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8745) |
Enumeration Date | 2013-11-13 |
Last Update Date | 2016-11-04 |