NPI | 1275959579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT37178) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2014-03-11 |
Last Update Date | 2024-03-19 |