| NPI | 1033536420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0004646) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO MT.0001648) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-04-09 |