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 |