NPI | 1154445062 |
---|---|
Former Name | KARYN ANNE MACKENZIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16710) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-26440) |
225700000X Massage Therapist (Licence: WA MA-00020322) | |
1041C0700X Social Worker, Clinical (Licence: WA LW60294108) | |
171100000X Acupuncturist (Licence: AZ LAC-012200) | |
Enumeration Date | 2007-03-17 |
Last Update Date | 2024-03-16 |