NPI | 1003979642 |
---|---|
Other Name | CAROL RILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00000248) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00005246) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2025-09-11 |