| NPI | 1548546625 |
|---|---|
| Former Name | SHELLIE LUCILLE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83060) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11033) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2021-01-26 |