| NPI | 1003979642 |
|---|---|
| Other Name | CAROL RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00005246) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00000248) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |