| NPI | 1114762259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT014765) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AL 6302) |
| Enumeration Date | 2024-06-29 |
| Last Update Date | 2024-06-29 |