| NPI | 1679939094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ 20660) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 42549) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |