| NPI | 1932492014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 1113803) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 4741) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |