| NPI | 1871701359 |
|---|---|
| Former Name | VALERIE J WILLOUGHBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MAOOOO4740) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MAOOOO4740) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-10-13 |