| NPI | 1053521278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95205899) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA PT28166) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-03-10 |