| NPI | 1588175467 |
|---|---|
| Former Name | MARISSA NICOLE GLAUDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2024-10-09 |