| NPI | 1437404910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374700000X Technician (Licence: OR 155744) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 18303) |
| 374700000X Technician (Licence: CA L9790) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2023-01-20 |