| NPI | 1043563737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 13344) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 13344) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2014-11-20 |