| NPI | 1306215157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: IL 778931277) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT LMT 8092) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2019-03-30 |