| NPI | 1720482748 |
|---|---|
| Former Name | LANDIS CLEARY BLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008127) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P9745) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2020-08-11 |