NPI | 1386967966 |
---|---|
Former Name | KATIE L COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-5000) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-03-10 |
Last Update Date | 2012-10-11 |