| NPI | 1992241749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 40652) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2018-03-17 |