NPI | 1154037588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ 19833) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 71863) |
Enumeration Date | 2023-01-30 |
Last Update Date | 2023-01-30 |