| NPI | 1932367455 |
|---|---|
| Professional Name | THERESA NICHOLSON BLACKBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX D6953) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |