NPI | 1467076588 |
---|---|
Former Name | ERIN MOLLOHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0010674) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-06-04 |
Last Update Date | 2020-06-04 |