| NPI | 1467855924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT013230) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WV 20133096) |
| 225700000X Massage Therapist (Licence: VA 0019011450) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2023-04-14 |