| NPI | 1003271511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT122732) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.015879) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |