NPI | 1376520031 |
---|---|
Other Name | BONNIE ELEANOR COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180000484) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041098831) |
Enumeration Date | 2005-12-23 |
Last Update Date | 2007-07-08 |