NPI | 1558602433 |
---|---|
Former Name | JANA ELIZABETH COLLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 174400000X Specialist (Licence: NY 0790201) |
Enumeration Date | 2013-03-03 |
Last Update Date | 2015-06-01 |