NPI | 1871847442 |
---|---|
Former Name | MELISSA HEATHER ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60149895) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60149895) |
Enumeration Date | 2012-11-05 |
Last Update Date | 2015-10-07 |