| NPI | 1508237470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 19977) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OR 19977) |
| 172M00000X Mechanotherapist (Licence: CA 33014) | |
| 225700000X Massage Therapist (Licence: CA 33014) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-12-22 |