| NPI | 1467772319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT35172) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA pt 35172) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2012-06-28 |