| NPI | 1821423922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 19060) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 174400000X Specialist (Licence: OR 19060) | |
| Enumeration Date | 2013-09-08 |
| Last Update Date | 2013-09-08 |