| NPI | 1316548217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 70997) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 18138) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |