| NPI | 1932825619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 86336) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 86336) |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |