| NPI | 1649604646 |
|---|---|
| Former Name | DIANE MARIE COLLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00182300) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |