| NPI | 1154662195 |
|---|---|
| Former Name | JESSICA KINKELAAR SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60275438) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10096120) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2022-08-25 |