NPI | 1376855163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 38346) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2022-07-14 |