| NPI | 1760883466 |
|---|---|
| Other Name | COLLEEN F SIPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-11430) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |