| NPI | 1831825884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM mt9535) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0019646) |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2022-07-30 |