| NPI | 1619064961 |
|---|---|
| Former Name | PIA BANTEGUI SANTIAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY21173) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |