| NPI | 1992303531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0021227) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0021227) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |