| NPI | 1730238171 |
|---|---|
| Professional Name | KATHLEEN DENISE BLAISDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041681A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY KY-1230) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |