NPI | 1669619201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MS 2645) |
Additional Taxonomies | 174400000X Specialist (Licence: WA MA 60018937) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2020-01-16 |