NPI | 1346720885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 2064) |
Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: SC NA) |
Enumeration Date | 2018-08-15 |
Last Update Date | 2018-08-15 |