| NPI | 1730577917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 60873) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 66723) |
| 225500000X Specialist/Technologist (Licence: CA 66723) | |
| 225400000X Rehabilitation Practitioner (Licence: CA 66723) | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2016-04-19 |