NPI | 1700021466 |
---|---|
Former Name | JENNIFER SUSANNE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501004034) |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2008-12-10 |
Last Update Date | 2020-03-26 |