NPI | 1811208929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 433) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: MT C189163) |
Enumeration Date | 2010-06-24 |
Last Update Date | 2011-08-18 |