| 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 |