| NPI | 1023130473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 6990) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 3368) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2025-09-11 |