NPI | 1548419773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LIC 5217) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00024956) |
Enumeration Date | 2008-09-11 |
Last Update Date | 2017-01-24 |