NPI | 1760783500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: LA LA1696) |
Additional Taxonomies | 174400000X Specialist (Licence: LA LA1696) |
Enumeration Date | 2010-11-10 |
Last Update Date | 2012-12-06 |