NPI | 1376900233 |
---|---|
Former Name | YOLANDA GEAN DAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: TX LMT102038) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: TX 102038) |
Enumeration Date | 2016-01-24 |
Last Update Date | 2018-11-21 |