| NPI | 1386709269 |
|---|---|
| Former Name | CLARESE BEATRICE HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00010972) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00010972) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2010-11-19 |