| NPI | 1992191555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA LPT35272) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA PT 35272) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-03-02 |