NPI | 1346088788 |
---|---|
Former Name | AMANDA LYNN HILLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA61589836) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 97035) |
Enumeration Date | 2024-07-18 |
Last Update Date | 2025-04-07 |