| NPI | 1982762357 |
|---|---|
| Professional Name | SUZYN MARY DOUGLASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 172576) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY KY-0854) |
| 101YP2500X Counselor, Professional (Licence: TX 64067) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2019-09-30 |