NPI | 1336532530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: VA CMT 0019008229) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M04211) |
225700000X Massage Therapist (Licence: DC MT1282) | |
Enumeration Date | 2015-03-12 |
Last Update Date | 2015-03-12 |