| NPI | 1881907566 |
|---|---|
| Former Name | CRYSTAL YVETTE OLSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA ma 60084404) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-09920) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-09-29 |