| NPI | 1316773542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 42979) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA BACB1131928) |
| 172V00000X Community Health Worker | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2025-04-09 |