NPI | 1275045254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: ME MT7215) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-22207) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2024-10-16 |