NPI | 1629567276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 35128) |
Additional Taxonomies | 167G00000X Licensed Psychiatric Technician |
Enumeration Date | 2018-05-08 |
Last Update Date | 2022-03-25 |