| NPI | 1518076249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT28784) |
| Additional Taxonomies | 374700000X Technician (Licence: CA PT28784) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-08-21 |