| NPI | 1992052138 |
|---|---|
| Former Name | SUSAN NEWMAN PRIOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99275) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 64238) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW64238) | |
| 104100000X Social Worker (Licence: CA 99275) | |
| 247200000X Technician, Other | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2021-08-20 |