NPI | 1346657871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-6231) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MT 6734) |
Enumeration Date | 2014-07-16 |
Last Update Date | 2014-09-03 |