NPI | 1932492386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 9669) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0002594) |
Enumeration Date | 2011-05-18 |
Last Update Date | 2014-06-10 |