NPI | 1134663198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60703334) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 20853) |
Enumeration Date | 2016-12-10 |
Last Update Date | 2016-12-10 |