| NPI | 1396821294 |
|---|---|
| Former Name | DIANA LYNN DONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO NBCC Cert. 48566) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2000158120) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |