| NPI | 1952792434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0015899) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO MT.0015899) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2018-08-23 |