| NPI | 1730243601 |
|---|---|
| Former Name | ANN MARIE COLTART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401008012) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MI 4704085418) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |