| NPI | 1912341900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0026204) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2024-10-26 |