| NPI | 1326394636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 11575) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO MFTC.0014572) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2025-08-01 |