| NPI | 1881217602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227.020006) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 14463-146) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2021-05-12 |