NPI | 1023318342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00021893) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 10656) |
Enumeration Date | 2010-11-03 |
Last Update Date | 2010-11-03 |