| NPI | 1518771047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: CA 65185) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 65185) |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |