| NPI | 1447723820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 42929) |
| Additional Taxonomies | 101Y00000X Counselor |
| 372600000X Adult Companion | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2025-08-21 |