| NPI | 1437504933 |
|---|---|
| Former Name | BLAKE TOBEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 096764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090494) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2025-08-15 |