| NPI | 1841942315 |
|---|---|
| Former Name | SUZANNE LARIVIERE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801090241) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-04-05 |