| NPI | 1629770136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT014036) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT01436) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |