| NPI | 1235858978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 75212) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-17055-0) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2025-08-10 |