NPI | 1629485644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60473431) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-11356) |
Enumeration Date | 2014-07-22 |
Last Update Date | 2015-01-05 |