| NPI | 1124623327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 41284) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: CA pt41284) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2024-07-23 |