NPI | 1083288484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: TX Mt134019) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 72673) |
Enumeration Date | 2021-05-19 |
Last Update Date | 2021-05-19 |