NPI | 1427604768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227020981) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.020981) |
Enumeration Date | 2019-08-13 |
Last Update Date | 2022-02-22 |