NPI | 1952913824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT010352) |
Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: GA MT010352) |
Enumeration Date | 2020-08-20 |
Last Update Date | 2025-09-25 |