| NPI | 1548976335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT012783) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA100054) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |