| NPI | 1114502911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227.021975) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 53526) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |