| NPI | 1144847872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM MT9486) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0021423) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2023-03-01 |