| NPI | 1417177833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 2012-00745) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 628255) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2013-03-28 |