| NPI | 1184997637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 11163) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 1398) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2013-01-08 |