| NPI | 1679829147 |
|---|---|
| Former Name | ERICA CHENELLE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 61029009) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 17625) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2020-01-29 |