| NPI | 1740378850 |
|---|---|
| Former Name | SUSAN LAURA OWRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 1677) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071004327) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-26 |