| NPI | 1437633112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 23896) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 43966) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |