NPI | 1720640113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 104453) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.021063) |
Enumeration Date | 2019-07-05 |
Last Update Date | 2021-03-08 |