| NPI | 1750527149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 50629) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 11206) |
| 225700000X Massage Therapist (Licence: CA 52094) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2010-12-01 |