| NPI | 1790390391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 28064) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 81132) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2024-03-16 |