NPI | 1023480332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA79055) |
Additional Taxonomies | 171W00000X Contractor (Licence: FL MA79055) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2021-04-02 |