| NPI | 1477677664 |
|---|---|
| Former Name | CARISSA DEE MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 04535) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 13093) |
| 225100000X Physical Therapist (Licence: WY 1093) | |
| 225100000X Physical Therapist (Licence: KS 11-07480) | |
| 225100000X Physical Therapist (Licence: NE 2500) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-05-30 |