NPI | 1700149952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 2008011831) |
Additional Taxonomies | 174400000X Specialist (Licence: MO 2008011831) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2012-09-21 |