| NPI | 1841757630 |
|---|---|
| Former Name | SUSAN E DONNELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401016253) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |