NPI | 1467539627 |
---|---|
Former Name | JOSIE VANESSA IVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00019544) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2016-11-07 |