| NPI | 1326531393 |
|---|---|
| Former Name | DOROTHY ALICE BLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013360) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012490) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-10-16 |