| NPI | 1598814295 |
|---|---|
| Former Name | CELESTE M THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: KS 0472) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: KS 092) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |