NPI | 1396791554 |
---|---|
Former Name | ANDREA J. KLINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00015927) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 8074) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2009-03-22 |