| NPI | 1467712752 |
|---|---|
| Former Name | SHADETTE DALES OLJOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029783) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95022060) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2024-05-16 |