| NPI | 1861892192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0019181) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0011556) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2019-01-14 |