| NPI | 1235604380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT005184) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA002443) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2021-07-21 |