| NPI | 1215297866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 0291) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 989) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2026-06-13 |