NPI | 1376034645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0005429) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0021583) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2018-05-23 |