NPI | 1487077020 |
---|---|
Former Name | LISA MERYL RAKOWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CT 001369) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 4126) |
Enumeration Date | 2014-02-03 |
Last Update Date | 2023-02-14 |