| NPI | 1699546879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 72213) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 9740032-4701) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |