| NPI | 1760284848 |
|---|---|
| Former Name | SUZANNE MARIE RUSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |