| NPI | 1679816771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225700000X Massage Therapist (Licence: OR 16669) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-07-21 |