| NPI | 1063529436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 408141-00) |
| Additional Taxonomies | 226300000X Kinesiotherapist (Licence: CA 1566) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |