NPI | 1336438977 |
---|---|
Former Name | ANN MARIE BLANDFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC60481067) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2017-01-16 |