| NPI | 1447657531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT0017075) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO MT0017075) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2024-02-07 |