| NPI | 1215445887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0020073) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0020073) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |