| NPI | 1477077782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 2024-0172) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 22150) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2025-11-17 |