NPI | 1558146795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: NH 8245) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL 2714012) |
Enumeration Date | 2023-08-28 |
Last Update Date | 2023-08-28 |