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 |