| NPI | 1326220096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 12368) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CO 000865) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2021-03-16 |