| NPI | 1265845523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 21763) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 13029) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-07-21 |