| NPI | 1285647438 |
|---|---|
| Former Name | GLENDA MAE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00002002) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC0047444) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-11-12 |