| NPI | 1972765758 |
|---|---|
| Other Name | LINDIE BREE GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT34210) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PT34210) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-09-17 |