NPI | 1992992101 |
---|---|
Former Name | TIFFANIE HUNTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA93974) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2007-10-02 |
Last Update Date | 2022-04-27 |