| NPI | 1740574102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA KT12101681) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA KT12101681) |
| 225700000X Massage Therapist (Licence: CA 17132) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-04 |