NPI | 1164793394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CO MI-4601) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO NA-365660) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2012-01-19 |