| NPI | 1417494923 |
|---|---|
| Former Name | DEBRA POMROY LUNDERGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4636) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2016005650) |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2017-03-05 |