NPI | 1134674559 |
---|---|
Former Name | MYRIA AMSLY AUVIL-WOLFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60689136) |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2016-08-16 |
Last Update Date | 2020-08-28 |