| NPI | 1316001068 |
|---|---|
| Former Name | COLLEEN MARY SCHLENKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003791) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2015-07-08 |