| NPI | 1386776433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT32589) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 32589) |
| 167G00000X Licensed Psychiatric Technician (Licence: CA 32589) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2021-10-07 |