| NPI | 1801824073 |
|---|---|
| Former Name | SUZANNE WAHLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-005332) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180-005332) |
| 101YP2500X Counselor, Professional (Licence: IL 180-005332) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2012-03-13 |