| NPI | 1568617744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 190) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 15012) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2021-04-29 |