| NPI | 1689903676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 2206) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 7245) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2011-04-14 |