| NPI | 1629123997 |
|---|---|
| Former Name | JESSICA RAE SOHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA ma00022713) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: WA RF 60480656) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-03-03 |