NPI | 1033658638 |
---|---|
Former Name | DEBRA A LORASCH-GUNDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8452) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2017-02-15 |
Last Update Date | 2020-09-11 |