| NPI | 1720640113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 104453) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.021063) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2021-03-08 |