| NPI | 1457404238 |
|---|---|
| Former Name | DONNA BAIRD TULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7262) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 19874) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-07-10 |