| NPI | 1518622992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 712372) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 712372) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2023-12-21 |