| NPI | 1689009599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 18708) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OR 18708) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2019-10-16 |