| NPI | 1831224617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 16841) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC 10744) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-02-11 |