| NPI | 1831716315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 87180) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 16032) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-01-17 |