NPI | 1881883361 |
---|---|
Former Name | SUSAN MARIE FOLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00023102) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 13497) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-10-19 |