| NPI | 1548783418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 023083) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A15832) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2024-11-18 |