| NPI | 1124385125 |
|---|---|
| Former Name | MELANIE KOLBE WIEGARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7773) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2024-05-24 |