| NPI | 1861990848 |
|---|---|
| Former Name | KOLLEEN J FOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2022-08-15 |