NPI | 1013230309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60378603) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 12783) |
Enumeration Date | 2010-03-01 |
Last Update Date | 2014-03-06 |