NPI | 1578168985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT00874100) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: 18KT00874100) |
Enumeration Date | 2020-12-02 |
Last Update Date | 2020-12-02 |