| NPI | 1083218572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0023677) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 11338) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2021-03-17 |