| NPI | 1932429735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT006068) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008052) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2017-03-06 |