NPI | 1780292136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 150512) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 2183165) |
Enumeration Date | 2020-07-21 |
Last Update Date | 2023-11-14 |