| NPI | 1467602623 |
|---|---|
| Former Name | DIANE KAY MCGRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18361) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 127126-121) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2017-09-06 |