| NPI | 1861704579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA S10-094) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2007004976) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |