| NPI | 1437779055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MY011736) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT011736) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |