| NPI | 1467090886 |
|---|---|
| Former Name | BLAIR ELIZABETH MARINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013164) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C012996) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2024-01-06 |