| NPI | 1154760858 | 
|---|---|
| Former Name | NORA REVELL MCCULLA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 67310) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2013-06-17 | 
| Last Update Date | 2025-02-22 |