| NPI | 1518539204 |
|---|---|
| Former Name | SUSANNE RHEAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |