| NPI | 1487952206 |
|---|---|
| Former Name | SUSAN LEA NADEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4008) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007102) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |