| 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 |