NPI | 1073057816 |
---|---|
Former Name | ANNA SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60704358) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 22821) |
Enumeration Date | 2016-12-13 |
Last Update Date | 2016-12-13 |