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 |