| NPI | 1740442300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 10327) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OR 10327) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2018-06-14 |