| NPI | 1669547980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 11555) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 216077) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |