NPI | 1407334238 |
---|---|
Former Name | JILL FRENCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 079069) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: IA 04249) |
Enumeration Date | 2018-08-02 |
Last Update Date | 2021-11-01 |