NPI | 1053768135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: DC MT2020) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019014538) |
225700000X Massage Therapist (Licence: MD R01808) | |
225700000X Massage Therapist (Licence: DC M) | |
Enumeration Date | 2016-05-19 |
Last Update Date | 2016-05-19 |