NPI | 1821449596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 1007) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 0273) |
Enumeration Date | 2016-06-23 |
Last Update Date | 2016-06-23 |