NPI | 1902462922 |
---|---|
Former Name | CALANDRA J BLOCKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA PC010937) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA PC010937) |
101YM0800X Counselor, Mental Health (Licence: GA PC010937) | |
Enumeration Date | 2019-05-15 |
Last Update Date | 2022-02-28 |