| NPI | 1700278017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 71677) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60351627) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2023-03-02 |