| NPI | 1457706475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT015158) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008597) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2025-02-12 |