NPI | 1811178189 |
---|---|
Former Name | CARLEEN ASHTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 20620) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-11-15 |
Last Update Date | 2022-11-04 |