| NPI | 1619273406 |
|---|---|
| Professional Name | IRENE T BLACKFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS006739L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS006739L) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS006739) | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2018-10-31 |