| NPI | 1699057471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 18504) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 18504) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2020-06-08 |