NPI | 1578804027 |
---|---|
Former Name | SARA JO WURM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT104989) |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2013-03-08 |
Last Update Date | 2020-11-17 |