| NPI | 1376198291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 28139) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 167G00000X Licensed Psychiatric Technician | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2023-12-07 |