NPI | 1568126977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 61156920) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 00001106) |
Enumeration Date | 2021-10-22 |
Last Update Date | 2021-10-22 |