| NPI | 1033540091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 38273) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA PT 38273) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2020-11-09 |