| NPI | 1003585068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: 87735) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 87735) |
| Enumeration Date | 2021-09-12 |
| Last Update Date | 2021-09-12 |