| NPI | 1427193259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 5352) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: MN CERTIFICATION) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2011-06-10 |