NPI | 1689106072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 405300000X Prevention Professional (Licence: WA MA60615915) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60615915) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2020-12-07 |