| NPI | 1922978808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 29341) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OR 1062391) |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-06 |