NPI | 1114211851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 11712) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 11702) |
Enumeration Date | 2011-05-28 |
Last Update Date | 2025-05-29 |