NPI | 1225243850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WA MA00013957) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA HP10001047) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2013-01-23 |