| NPI | 1194870683 |
|---|---|
| Former Name | LINDA M VANDERBLEEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2098) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL Mh 5334) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-08-08 |