| NPI | 1053120477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT42139) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 42139) |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2025-10-10 |