| NPI | 1487417200 |
|---|---|
| Former Name | MINNA TAKUSHI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019018779) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DC MT200001269) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |