| NPI | 1437749371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 25938) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0019093) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-01-25 |