| NPI | 1134230303 |
|---|---|
| Professional Name | SUSAN TRESE BERNADETT-SHAPIRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA psy15196) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA psy15196) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |