| NPI | 1326681719 |
|---|---|
| Former Name | MARISSA BLAIR BLUEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.2507069) |
| 104100000X Social Worker (Licence: KY LCSW00001119) | |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2025-09-18 |