| NPI | 1427414663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 7892) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0015295) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |