| NPI | 1891456489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 42646) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2024-01-04 |