| NPI | 1851803068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227.010064) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057.004769) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |