NPI | 1356107064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 41481) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2024-02-21 |
Last Update Date | 2024-04-18 |