| NPI | 1831580638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 73149) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-6249) |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2017-05-01 |