| NPI | 1437402823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT11470) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 599389-10) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |