| NPI | 1700350071 |
|---|---|
| Former Name | SUZAN JENNIFER COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2020-06-09 |