NPI | 1639625825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT27015) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 255400000X) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2022-08-19 |