| NPI | 1457554164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 32511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95160427) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2019-02-04 |