| NPI | 1306165709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 68075) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 4937) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2017-03-02 |