NPI | 1669738555 |
---|---|
Former Name | MALAYKA GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA53515) |
Additional Taxonomies | 174400000X Specialist (Licence: FL FS869881) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2018-12-06 |