NPI | 1508814187 |
---|---|
Former Name | ALICIA KATHERINE WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00016071) |
Additional Taxonomies | 174400000X Specialist (Licence: WA MA00016071) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2011-03-22 |