NPI | 1811656713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 13754) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: MT 50096) |
Enumeration Date | 2021-12-08 |
Last Update Date | 2021-12-08 |