| NPI | 1043793425 |
|---|---|
| Former Name | CARLEE NICOLE DAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2024-08-05 |