NPI | 1699987123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 19379) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA0009869) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2016-08-11 |