| NPI | 1144941899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR lmt-26911) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO mt0023069) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |