| NPI | 1710225842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 36027) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 36027) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2026-01-14 |