| NPI | 1588156590 |
|---|---|
| Former Name | DANIEL LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 16339) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2022-06-03 |