| NPI | 1851914790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: LA LA-9252) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 23902) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |