| NPI | 1770820383 |
|---|---|
| Former Name | DAWN NANNEY, UTTERBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74785) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 74785) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2019-03-25 |