| NPI | 1710420377 |
|---|---|
| Former Name | SHAWNA LYNN SALEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 1606131) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 40252) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2023-04-12 |