| NPI | 1730720541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 88021) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0020128) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2024-08-06 |