NPI | 1306404934 |
---|---|
Professional Name | N/A N/A |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: DC MT2167) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M04890) |
225700000X Massage Therapist (Licence: VA 0019011796) | |
Enumeration Date | 2019-05-29 |
Last Update Date | 2019-05-29 |