NPI | 1932483385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT26756) |
Additional Taxonomies | 247200000X Technician, Other (Licence: CA pt26756) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2024-07-03 |