| NPI | 1508016668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 10548) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 10548) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2018-09-17 |