| NPI | 1306242938 |
|---|---|
| Former Name | ALAINA JOY BREITBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: CT 3375) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: FL PSY 9066) |
| 103TR0400X Psychologist, Rehabilitation (Licence: NY 022953-01) | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2022-08-18 |