| NPI | 1720373954 |
|---|---|
| Former Name | BRIDGETTE SUSAN COLWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 26225) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2017-01-30 |