| 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 |