| NPI | 1609227040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 10174) |
| Additional Taxonomies | 171W00000X Contractor (Licence: CA 10174) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2017-04-05 |