NPI | 1124646815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT42019) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-07-08 |
Last Update Date | 2023-12-12 |