| NPI | 1699177444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CT 003876) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 60838) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2015-06-23 |