| NPI | 1942307236 |
|---|---|
| Former Name | JOLEEN GONZALES ANDRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT32297) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA 276037) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-03-18 |