NPI | 1538766787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 261860) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: IN MT22007145) |
Enumeration Date | 2020-10-01 |
Last Update Date | 2020-12-02 |