| 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 |