| NPI | 1821289620 |
|---|---|
| Former Name | COLLEEN TRAVERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2011-04-05 |