| NPI | 1639749294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ME MT6131) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0021897) |
| 225700000X Massage Therapist (Licence: SC 6980) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |