| NPI | 1275720237 |
|---|---|
| Former Name | COLLEN BARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 10435) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL 4863) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2015-09-02 |