| NPI | 1275878837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IA 227.014374) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 006508) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |