| 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 |