| NPI | 1073394029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT-005221) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AL 1907) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |