| NPI | 1609285485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 127151) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227006174) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-01-24 |