| NPI | 1922162064 |
|---|---|
| Former Name | SARAH LECLAIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: MA 7393) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |