| NPI | 1033171145 |
|---|---|
| Former Name | COLLEEN MARY GENDRON DANIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP3532) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 102235) |
| 103TC0700X Psychologist, Clinical (Licence: MN LP3532) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-05-22 |