NPI | 1053433599 |
---|---|
Former Name | AUTUMN ODENIUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC61413207) |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2007-04-04 |
Last Update Date | 2024-05-06 |