| NPI | 1639554322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 37891) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2017-12-05 |