| NPI | 1700178134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 17959) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OR 795072) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2016-03-25 |