| NPI | 1356594063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 7305) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 61555330) |
| 172M00000X Mechanotherapist (Licence: OR 7305) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2025-10-31 |