| NPI | 1609206937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 15481) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 15481) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |