| NPI | 1063261261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT006620) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: GA MT006620) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: GA MT006620) | |
| Enumeration Date | 2024-05-18 |
| Last Update Date | 2024-05-18 |