| NPI | 1609179043 |
|---|---|
| Former Name | RHONDA JEAN GOLLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 11180) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC 0020824) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2019-04-17 |