| NPI | 1720310501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0009121) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 9121) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2017-02-09 |