NPI | 1427328269 |
---|---|
Former Name | KARA COLLINS |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 18309) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT 13808) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2022-07-21 |