| NPI | 1770606386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA RN 704233) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA pt27085) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-01-20 |