| NPI | 1386022515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0006105) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: CO 142359) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |