| NPI | 1841013885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 40215) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 21-155551) |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |