| NPI | 1528565231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG010641) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227017932) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |