| NPI | 1972794485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT34326) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 374700000X Technician | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2021-06-09 |