| NPI | 1366880965 |
|---|---|
| Former Name | DARLENE JEANNETTE CORRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |