| NPI | 1629446554 |
|---|---|
| Former Name | DOROTHY S COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 24876) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |