NPI | 1164688438 |
---|---|
Former Name | TAMI KRISTINA CESSWA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT30023) |
Additional Taxonomies | 374700000X Technician (Licence: CA PT 30023) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2013-06-05 |