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 |