NPI | 1053826164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501000246) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401010426) |
Enumeration Date | 2017-12-12 |
Last Update Date | 2022-09-20 |