| NPI | 1518053602 |
|---|---|
| Former Name | DARLENE DOROTHEA MAYO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 13092) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 5412) |
| 163W00000X Registered Nurse (Licence: TX 447244) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-02-09 |