| NPI | 1427197722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 10072) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 10072) |
| 225700000X Massage Therapist | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-03-22 |