NPI | 1154059558 |
---|---|
Former Name | MARY GRACE ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61324898) |
Additional Taxonomies | 102X00000X Poetry Therapist |
221700000X Art Therapist | |
Enumeration Date | 2022-08-12 |
Last Update Date | 2022-09-07 |