NPI | 1548560840 |
---|---|
Other Name | GERALYN C RETZEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN00084823) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00015313) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2011-03-01 |