| NPI | 1720122377 |
|---|---|
| Former Name | MICHELLE CRIPPEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA00010401) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00010401) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |