| NPI | 1326686429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227.005753) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 11810-146) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |