| NPI | 1710393897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0014785) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0012828) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-09-12 |