| NPI | 1992042576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 20281) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 20281) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2017-01-07 |