| NPI | 1922562891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 21536) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 21536) |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |