| NPI | 1588703136 |
|---|---|
| Former Name | COLLEEN PATRICIA DUGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SD LPC 626) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD LMFT 1120) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |