NPI | 1215194378 |
---|---|
Former Name | SARA MARIE BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 1003914) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI 60129238) |
225700000X Massage Therapist (Licence: WA MA60012489) | |
Enumeration Date | 2008-05-16 |
Last Update Date | 2022-10-21 |