NPI | 1699976621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 25754) |
Additional Taxonomies | 172V00000X Community Health Worker |
174400000X Specialist | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2022-02-23 |