| NPI | 1427826247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 78758) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: CA 78758) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-06-24 |