| NPI | 1972976348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT004048) |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy (Licence: GA W8X5Z6H9) |
| 374J00000X Doula | |
| Enumeration Date | 2015-11-07 |
| Last Update Date | 2019-05-29 |