| NPI | 1275962938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 36796) |
| Additional Taxonomies | 101200000X Drama Therapist |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2024-01-12 |