NPI | 1891042784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 18843) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OR 18843) |
Enumeration Date | 2012-08-09 |
Last Update Date | 2018-03-17 |