| NPI | 1659103232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 30957) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 6727) |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |