NPI | 1063182764 |
---|---|
Former Name | ELIZABETH JACK MURPHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 23711) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23711) |
Enumeration Date | 2021-09-15 |
Last Update Date | 2024-10-03 |