| NPI | 1730793563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 40631) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA LPT40631) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2023-11-06 |