| NPI | 1972289734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT014203) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-07-17 |