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 |