| NPI | 1952867384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 19273) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 77753) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2022-07-01 |