| NPI | 1336315415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 11246) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: OR Nia White Belt) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |