| NPI | 1225059744 |
|---|---|
| Former Name | DIANE GWEN BLOOR-BIERSACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 240-121) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 240-121) |
| 101YM0800X Counselor, Mental Health (Licence: WI 240-121) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |