| NPI | 1104234251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 20411) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR LMT20411) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2025-08-18 |