| NPI | 1235434325 |
|---|---|
| Former Name | NICOLE BAILEY MCCANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18990) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5146) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |