| NPI | 1316631955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 80507) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2026-03-23 |