| NPI | 1619346533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 21605) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 21606) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2017-10-24 |