| NPI | 1932391505 |
|---|---|
| Former Name | SUSAN ARLENE GROVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI l1128721) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI l1128721) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2014-04-09 |