NPI | 1073604500 |
---|---|
Former Name | CASSANDRA KAYE BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00021177) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: ID MAS-4236) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2022-09-28 |