| NPI | 1215034897 |
|---|---|
| Professional Name | DIANE MCCOLLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 18464) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 61481) |
| 106H00000X Marriage & Family Therapist (Licence: TX 5163) | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2009-10-06 |