| NPI | 1063028603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 80422) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: CA 80422) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |