| NPI | 1316312432 |
|---|---|
| Former Name | MONICA MARIE KOLB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5162) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60003992) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |