| NPI | 1073978342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: OR 20692) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 20692) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2023-10-20 |