NPI | 1043853963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 15821) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 005524) |
Enumeration Date | 2019-10-23 |
Last Update Date | 2024-01-12 |