NPI | 1225059744 |
---|---|
Former Name | DIANE GWEN BLOOR-BIERSACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 240-121) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WI 240-121) |
104100000X Social Worker (Licence: WI 240-121) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2025-09-11 |