| NPI | 1700335262 |
|---|---|
| Other Name | SHAWNRIEL ANNTIONETTE GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95246107) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA VN 291961) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2021-05-06 |