| NPI | 1841309838 |
|---|---|
| Former Name | SUZANNE RUSSELL THORNBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-42025) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-06618) |
| 171M00000X Case Manager/Care Coordinator (Licence: NM 4247900) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-11-16 |