| NPI | 1316603566 |
|---|---|
| Former Name | SHANNON DINESE LIKINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 649967) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |