NPI | 1053699629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 13947) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00023485) |
Enumeration Date | 2011-07-29 |
Last Update Date | 2024-07-09 |