| NPI | 1760776686 |
|---|---|
| Former Name | SUSAN NOVELLA LEIRMOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5086) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6019) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2024-02-20 |