| NPI | 1417742859 |
|---|---|
| Former Name | MAILE MARIA BLASHILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CO 17124466) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 5166) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |