| NPI | 1790009546 |
|---|---|
| Former Name | MALISA MARIE MURRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 4301-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4301-125) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2017-03-13 |