| NPI | 1922285840 |
|---|---|
| Former Name | SUSAN ELIZABETH MIRCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY 1026) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: HI psy 1026) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: HI psy 1026) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |