NPI | 1558747568 |
---|---|
Former Name | KARLENE COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0098893) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000533) |
Enumeration Date | 2015-08-03 |
Last Update Date | 2024-07-25 |