| NPI | 1699987123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 19379) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA0009869) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-08-11 |