| NPI | 1740680388 |
|---|---|
| Former Name | COLLEEN JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018396) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 021864) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2018-03-17 |