| NPI | 1316450877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0021667) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 107286) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2018-10-30 |