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 |