| NPI | 1235786120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 41436) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2025-03-17 |