| NPI | 1245703172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR LMT-26219) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0021593) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2021-03-01 |