| 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 |