| NPI | 1225557549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 20340) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC208747) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-07-21 |