| NPI | 1326320433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 16703) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA ma60164472) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2026-02-10 |