NPI | 1073258075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 20198) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 270620) |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-05-03 |