| NPI | 1598725525 |
|---|---|
| Former Name | PATRICIA SUE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: IA 089155) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-08 |