| NPI | 1225268162 | 
|---|---|
| Former Name | NATALIE C. BLEVINS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10949) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042360A) | 
| 103TC0700X Psychologist, Clinical (Licence: IN 99036092A) | |
| Enumeration Date | 2009-07-24 | 
| Last Update Date | 2019-03-29 |