NPI | 1306093976 |
---|---|
Former Name | KELI BLANKENSHIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 1617) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 0856) |
Enumeration Date | 2008-08-26 |
Last Update Date | 2015-04-16 |