| NPI | 1992943260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0012319) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 14138) |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2025-08-01 |