NPI | 1013291137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MA #205) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: MA #6783) |
Enumeration Date | 2011-10-07 |
Last Update Date | 2011-10-07 |