NPI | 1285960419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 12328) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 00024881) |
225700000X Massage Therapist (Licence: TX 045095) | |
Enumeration Date | 2009-10-22 |
Last Update Date | 2009-10-22 |