NPI | 1316484082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 7765002-4701) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT010626) |
Enumeration Date | 2017-01-19 |
Last Update Date | 2017-01-19 |