| NPI | 1346812351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 83946) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 026318) |
| 225X00000X Occupational Therapist (Licence: CA OT22442) | |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2021-07-11 |