| 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 |