| NPI | 1659897189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0018748) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 12088) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |