NPI | 1083878573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 26BT00010300) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 0146917-1) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2010-11-18 |