NPI | 1235769548 |
---|---|
Former Name | JENNIFER STROER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 11594) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227017115) |
Enumeration Date | 2020-01-26 |
Last Update Date | 2020-01-26 |