NPI | 1548677180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60468503) |
Additional Taxonomies | 171W00000X Contractor (Licence: WA MA60468503) |
Enumeration Date | 2014-07-15 |
Last Update Date | 2018-06-13 |