| NPI | 1447661798 | 
|---|---|
| Former Name | ALLISON MARTHA KOLBERG | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IN 10193502)  | 
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 1983970)  | 
| Enumeration Date | 2014-05-08 | 
| Last Update Date | 2024-09-26 |