NPI | 1366793366 |
---|---|
Former Name | SHALON CAROLYN SAYRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN397751) |
Enumeration Date | 2012-10-01 |
Last Update Date | 2018-01-02 |