| NPI | 1427712520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227011959) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 269081) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-11-04 |