| NPI | 1578154787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225500000X Specialist/Technologist (Licence: CA 79222) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 79222) |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-01-30 |