NPI | 1639454168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MS MS929) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: LA LA3751) |
Enumeration Date | 2011-10-16 |
Last Update Date | 2011-10-16 |