| NPI | 1215289145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT26458) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA PT24658) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2015-04-24 |