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 |