| NPI | 1720384340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 17849) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 023533) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |