| NPI | 1083380489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT014009) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD R02510) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2023-02-22 |