NPI | 1861162786 |
---|---|
Former Name | COLEEN A BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021036325) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2021036325) |
Enumeration Date | 2021-09-14 |
Last Update Date | 2023-09-13 |