| NPI | 1245699933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0015971) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.000897) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |