| NPI | 1760840896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 19559) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 46-2071391) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2019-10-08 |