| NPI | 1821395336 |
|---|---|
| Former Name | ANDREA BLATZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-5740) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-4625) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2024-02-27 |