NPI | 1922855642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 42054) |
Additional Taxonomies | 167G00000X Licensed Psychiatric Technician |
Enumeration Date | 2024-05-01 |
Last Update Date | 2024-12-09 |