NPI | 1992244552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
167G00000X Licensed Psychiatric Technician (Licence: CA 41444) | |
Enumeration Date | 2017-02-15 |
Last Update Date | 2021-03-11 |