| NPI | 1386265064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT-5810) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |