NPI | 1225568561 |
---|---|
Former Name | HANNAH LOUISE FISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 14577) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: 14577) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2021-05-08 |