NPI | 1639848088 |
---|---|
Former Name | BLAKE MURRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3860) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 124) |
Enumeration Date | 2021-09-09 |
Last Update Date | 2024-11-06 |