NPI | 1164627907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 7977) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
Enumeration Date | 2007-06-20 |
Last Update Date | 2017-11-01 |