| NPI | 1497169452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0015223) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 6942) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |