| NPI | 1043540040 |
|---|---|
| Former Name | KATHLEEN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082478) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 068356-1) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2020-10-05 |