| NPI | 1447449624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 35126) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT 9623) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2020-08-26 |