| NPI | 1366995862 |
|---|---|
| Former Name | COLLEEN JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3130) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2021-06-02 |