| NPI | 1487717070 |
|---|---|
| Former Name | AMBER MICHELLE BLECKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 962) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8119) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |