| NPI | 1033364666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 5004) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OR 5004) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2021-04-19 |