| NPI | 1265547673 |
|---|---|
| Former Name | CRISTY MACHELLE BLANKENBAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004916A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-1954) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2013-11-18 |