NPI | 1760763940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172M00000X Mechanotherapist (Licence: CO 11483) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 11483) |
Enumeration Date | 2011-09-01 |
Last Update Date | 2011-10-07 |