NPI | 1124734090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 10606) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA96259) |
225700000X Massage Therapist (Licence: TX MT135014) | |
Enumeration Date | 2023-01-25 |
Last Update Date | 2023-06-02 |