NPI | 1477706562 |
---|---|
Former Name | KRISTA PALIZANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60236002) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 10964) |
Enumeration Date | 2008-11-03 |
Last Update Date | 2020-08-26 |