NPI | 1841704582 |
---|---|
Other Name | ROBERTA JEAN JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 374J00000X Doula |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0012621) |
Enumeration Date | 2017-11-16 |
Last Update Date | 2024-10-01 |