| NPI | 1063144079 |
|---|---|
| Former Name | SHELLEY E MARISCAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95254366) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95033754) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2025-06-13 |