NPI | 1093051658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO PTA0012311) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 3259) |
Enumeration Date | 2012-12-28 |
Last Update Date | 2013-01-07 |