| NPI | 1376988501 |
|---|---|
| Professional Name | OLYVER BLAKEWAY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW66048) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LCSW66048) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2021-12-13 |