| NPI | 1083081780 |
|---|---|
| Former Name | BLAIR EVANS JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW66155) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 66155) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2024-08-15 |