| NPI | 1386093532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT005146) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: GA MT005146) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |