| NPI | 1659813939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IN MT22308193) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 20950) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2024-03-14 |