| NPI | 1518143395 |
|---|---|
| Other Name | LORI WIRTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 2680) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NJ 2680) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2011-09-16 |