NPI | 1730795105 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225A00000X Music Therapist (Licence: DC MT0953) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA62383) |
225700000X Massage Therapist (Licence: VA 0019006223) | |
Enumeration Date | 2020-09-21 |
Last Update Date | 2020-09-21 |