| NPI | 1972090629 |
|---|---|
| Former Name | NONA A COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CAD0224801) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-09-27 |