| NPI | 1245622216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60540936) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227015146) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2020-01-02 |