NPI | 1841351251 |
---|---|
Other Name | SUZAN WOLPOW-GILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MA LRC 90) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC 211) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-07-08 |