| NPI | 1972195246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA SPB12021-00048) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SPB12021-00048) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |