| NPI | 1023405396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95178383) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 33965) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2021-12-28 |