NPI | 1710052774 |
---|---|
Former Name | DAWNELL J MERRITS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician |
Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA PT25905) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2011-05-25 |