| NPI | 1518411834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR LMT-023436) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA75377) |
| 225700000X Massage Therapist | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2023-08-08 |