NPI | 1417563842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG012655) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: DE MT-0003961) |
Enumeration Date | 2020-09-21 |
Last Update Date | 2020-09-21 |