| NPI | 1992114805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227011150) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 5079146) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |