NPI | 1104161991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MS LMT 1214) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: LA LA 4325) |
Enumeration Date | 2012-12-05 |
Last Update Date | 2012-12-05 |