NPI | 1790204394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA LPT40582) |
Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 40582) |
Enumeration Date | 2017-09-14 |
Last Update Date | 2020-09-25 |