| NPI | 1104342617 |
|---|---|
| Other Name | SUSANNE LAREE PALMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5889) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 5889) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2025-02-26 |