| NPI | 1992172985 |
|---|---|
| Former Name | EMILY BLINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000821) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2018-07-20 |