| NPI | 1972626034 |
|---|---|
| Former Name | KRISTY JEAN SILVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60558965) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-12-04 |