NPI | 1568933067 |
---|---|
Professional Name | TANISHA BOLTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 0278872-1) |
Additional Taxonomies | 374J00000X Doula |
Enumeration Date | 2018-12-09 |
Last Update Date | 2025-02-01 |