| NPI | 1780891770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT000009) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA10936) |
| 225700000X Massage Therapist (Licence: GA 28341600 NATL CERTIF) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |