| NPI | 1205514411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA-CARLIE BLAIN TILUS Owner/Operator 424-260-3691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 374J00000X Doula |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |