| NPI | 1184052375 |
|---|---|
| Former Name | MARY ANN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CJP400109) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-E0807161445) | |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |