| NPI | 1932751260 |
|---|---|
| Former Name | MARION BLOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022001670) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9925) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-10-02 |