NPI | 1457960130 |
---|---|
Former Name | CHLOE JUSTINE ANDREW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ 29176) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 25916) |
Enumeration Date | 2020-07-28 |
Last Update Date | 2023-10-15 |