| NPI | 1487891206 |
|---|---|
| Former Name | DONNA MISCHELL DORAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17674) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |