NPI | 1962602383 |
---|---|
Former Name | COLLEEN ANN COMEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 3219) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO 0003219) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2024-05-09 |