NPI | 1114323227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 110809) |
Additional Taxonomies | 174400000X Specialist (Licence: CO 16343) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2019-11-12 |