NPI | 1487906921 |
---|---|
Former Name | CRYSTAL THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT-11664) |
Additional Taxonomies | 374J00000X Doula |
Enumeration Date | 2012-10-08 |
Last Update Date | 2024-10-02 |