NPI | 1477141067 |
---|---|
Former Name | SIERRA LYNN MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath |
Additional Taxonomies | 174H00000X Health Educator |
225700000X Massage Therapist (Licence: TX MT134262) | |
374K00000X Religious Nonmedical Practitioner | |
Enumeration Date | 2021-01-08 |
Last Update Date | 2021-06-17 |