| NPI | 1508382805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60776405) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227016579) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |