| NPI | 1609630920 |
|---|---|
| Former Name | MALIA LORAINE BLANCHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 110827) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 23-CRM-2731) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2025-11-04 |