| NPI | 1154863751 |
|---|---|
| Former Name | SUZANNE SUMPTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60126483) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT5449) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |