| NPI | 1144453838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 387714-00) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 759) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2011-04-15 |