| NPI | 1285033019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 39485) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 12070) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |