| NPI | 1376890061 |
|---|---|
| Former Name | KATHERINE MELISSA BLANKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15081) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2024-08-28 |