NPI | 1710404322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501011621) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 10253) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2022-01-30 |