| NPI | 1053148262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN MIRASSOU Member/Organizer 910-670-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |