| NPI | 1770175028 |
|---|---|
| Former Name | WHITNEY BLACKWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007899) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW007358) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2024-09-11 |