| NPI | 1730406091 |
|---|---|
| Former Name | LINDSEY C BLANK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MI 6801014261) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |