| NPI | 1790120459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 076470) |
| 225700000X Massage Therapist (Licence: CA 471670) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2019-12-12 |