| NPI | 1598011983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA LPT35453) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA PT 35453) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2020-03-03 |