| NPI | 1578755427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 11194) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ND 11194) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2018-01-25 |