| NPI | 1871022194 |
|---|---|
| Former Name | SHANNA BROWNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA RN502333) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |