| NPI | 1548639073 |
|---|---|
| Former Name | DIANA LYNN TRUEBLOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 13009) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 62517) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2021-08-25 |