| NPI | 1134364755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 34783) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2024-03-14 |