| NPI | 1467234724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO Mt.0026077) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0026077) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |