| NPI | 1013124221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA PT26849) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2011-09-01 |