| NPI | 1902964398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA PT31294) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2025-04-21 |