| NPI | 1801147475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 529467-07) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: IL 041-198732) |
| 374T00000X Religious Nonmedical Nursing Personnel (Licence: IL 041-198732) | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |