| NPI | 1356753529 |
|---|---|
| Former Name | KATHLEEN COLLIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0127103) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000615) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2025-08-01 |