NPI | 1114302874 |
---|---|
Former Name | KATE BATEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60615948) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00018659) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2018-06-12 |