| NPI | 1356562607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 18086) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 8188) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-09-11 |