NPI | 1578794764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: WV 2004-1547) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WV 2004-1547) |
Enumeration Date | 2009-08-05 |
Last Update Date | 2021-11-17 |