NPI | 1427760560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 41538) |
Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 41538) |
Enumeration Date | 2022-12-20 |
Last Update Date | 2023-08-11 |