| NPI | 1104377944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227.012934) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501003525) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |