| NPI | 1992443030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 68815) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 68815) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |