NPI | 1144847872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: NM MT9486) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0021423) |
Enumeration Date | 2020-06-29 |
Last Update Date | 2023-03-01 |