| NPI | 1265122121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.020364) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 222902) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |