| NPI | 1174343339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0026927) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CO 312038) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |