NPI | 1598324212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WV 2016-3386) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019017122) |
Enumeration Date | 2019-06-06 |
Last Update Date | 2019-06-06 |