| NPI | 1366818361 |
|---|---|
| Former Name | COLLEEN CASH RUPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12319) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC c012666) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2020-05-04 |