| NPI | 1588239206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT014264) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2023-08-30 |