| 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 |