NPI | 1659643377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: UT DOPL 325867-4701) |
Additional Taxonomies | 173C00000X Reflexologist (Licence: UT DOPL 325867-4701) |
Enumeration Date | 2012-01-27 |
Last Update Date | 2015-05-13 |