NPI | 1285165373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: IA 076233) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NE 2760) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2017-03-21 |