| 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 |